Information Collection

Testing of Revised CIPSEA Pledge

IC 221914 under ICR 201608-1220-001 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachments C-F Testing of Revised CIPSEA Pledge	Form and Instruction
Attachments C-F Testing Protocol Attachment C-F_Testing_Protocol.docx	Form and Instruction
Note to Reviewer - CIPSEA_Testing.docx Note to Reviewer - Testing of CIPSEA Pledge	IC Document

IC Title:

Testing of Revised CIPSEA Pledge

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachments C-F	Testing Protocol	Attachment C-F_Testing_Protocol.docx		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,040

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 92 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,040	1,040
Annual IC Time Burden (Hours)	122	122
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer - Testing of CIPSEA Pledge	Note to Reviewer - CIPSEA_Testing.docx	06/21/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.